| NPI | 1710120050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1498) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: VT 099.0120401) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2016-05-20 |